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Home My WebLink About30615-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31403 Date: 01/18/06 THIS CERTIFIES that the building ALTERATIONS Location of Property: 13650 MAIN RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 11 Lot 24 .3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 2004 pursuant to which Building Permit No. 30615-Z dated SEPTEMBER 3, 2004 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is INTERIOR ALTERATIONS TO AN EXISTING BUILDING AS APPLIED FOR. The certificate is issued to JKNK LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 6904 12/21/05 PLUMBERS CERTIFICATION DATED N/A Aut o{r'i_zed Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD FtJW BUILDING DEPARTMENTTOWN HALL 765-1802 1 8 . APPLICATION FOR CERTIFICATE OF OCCUPANCY iL1 _ F ,7 This application must be filled in by typewriter or ink and submitted to the Building Department with the followm = A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses,or buildings and"pre-existing" land uses: 1. Accurate survey of properly showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial$15.00 December 29, 2005 Date. )Gtebev 4, 2009 New Construction: Old or Pre-existing Building: _ X (check one) Location of Property: 13650 Main Road Mattituck, N.Y. House No. Street Hamlet Owner or Owners of Property: JKNK, LLC Suffolk County Tax Map No 1000, Section_ 114 Block 0011 Lot 024-003 Subdivision Filed Map. _ Lot: PennitNo. 30615_ DateofPennit. 9/3/2004 Applicant:_ JRNK, LLC Health Dept. Approval: _ Underwriters Approval: _______ Planning Board Approval Request for: Temporary Certificate _Final Certificate: X _ _ (check one) Fee Submitted: $ 50.00 Check #1225 p cant r ature - 3jY�3 Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street • Center Moriches,New York 11934 • Tel: 631-878-3500 • Fax: 631-878-3764 Application: 6904 Date:12/21/05 Issued to: Kardwell Address:13650 Main Rd Village: Mattituck Introduced By:: Electrical Ventures License#:847-E was examined and approved up to the above date and was in compliance with the NEC Atic 1sit Roor2 Residential pod DetGarage Basement 2nd floor Camialaad El Hot Tub Mdition Switches Receptacles Fixtures G.F.I. Range Hood Smoke Detectors 3 13 24 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon RangelAmps Monoxide Furnace Oil Gas Heat Zones Whirlpool Bell Transformers Meter Amps Phase Motors Additional Wiring Other Equipment: 1-40A Outlet,3-exit signs,2-Emergency Lights 1-100A Sub Panel 1-30A Compressor Out,Res �.csa�o/J�tffolk cam'/ectrical✓.cs�b Gzc..Gyr, This certificate must not be altered in any manner l FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30615 Z Date SEPTEMBER 3 , 2004 Permission is hereby granted to : LLC JKNK PO BOX 607 ORIENT,NY 11957 for INTERIOR ALTERATIONS TO AN EXISTING BUILDING AS APPLIED FOR at premises located at 13650 MAIN RD MATTITUCK County Tax Map No. 473889 Section 114 Block 0011 Lot No. 024 . 003 pursuant to application dated AUGUST 18 , 2004 by the Building Inspector to expire o RCH 3 , ;200 . Fee $ 200 . 00 A or ed Signature ORIGINAL Rev. 5/8/02 �o��OF SObly�� i r��buatv,� TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ) FOUNDATION IST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND 1XINSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: J C i DATE �� 3 �� INSPECTOR vlF So&4 �ycouxry TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ jFFI'R-E SAFETY INSPECTION REMARKS: DATE �J7 INSPECTOR /!% 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY Q[ ] FIRE SAFETY INSPECTION REMARKS: DATE // zoI Z,41 INSPECTOR- / v TOWN OF SOUTHOLD PROPERTY RECORD *CARD r, OWNER STREET VILLAGE DIST. SUB. LOT L -- FORMER bWNER N e E„ yo ' ACR. < G� O S W _ TYPE OF BUILDING RES. SEAS. L. FARM COMM�4�Bim. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS pre 0F L,3z Ba a Lji ,r_) L-- -A P 176 S 7 00 Ob .2 by d 7 51w - u✓tLc�C i C?S9coo Z ( 5007 - + - l- h e• -fz) j,�nlKt� u` �3/�,nz� S ( 1, C4 ✓a rm —- AGE BUILDING CONDITION CCD NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland2� 4-f' 7 7_° o = S 7 `f ✓ -- FRONTAGE ON ROAD Meadowland DEPTH 3 House Plot BULKHEAD Total DOCK .AAu a::::::::■::::�■::: :■:::::: + - ° ■ ■r■■■■■■■■e■■■ ■■■■ ■ ■:■ ■■■■■■■A■■■■■■:■■MEN ::::■: ■■t ■■■■■■ �C�■■O■■■■■ ■■■■■■■ ■■L!■■■■■■:■■■■■■■■■■� ■■■■■ mi:m:e ON MINNS ■ �■�■■ _ R ■■■■■r�:■■■��■■■N■■mom 0 ■■■■■■■■■■■■ ■■o:■■■NONE MEN IM ■■■■■■■■■■■■■■■■■■�I■■■ : .. ::::■:::■:i::i:::■::�:�i: ■■■NEE■■■■■■■■■■■■■■Q!■■■■■Fire Place ■: ■ ' Ext. Walls. .._ ® ®oor �® �. �s . Total , �� OWN OF SOUTHOLD PROPERTY RECORD CARD � � IOOD I f4 ! I OWNER pp STREET VILLAGE DIST.1 SUB. LOT Y 1 C FORMER OWNEII N E I ACR. �k = 6161C)e-2C� S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. qC�. MICS. Mkt. Value LANDIMP. TOTAL DATE REMARKS �+ <7 Gi c S y 3f YF b Y 1 ,+ Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total { M. BId9 1 Foundation Bath E tension. Basement Floors E _iensia Fxt. Walls Interior Finish E•aersio- Fire Place Heat Fora, Pool Attic Deck Patio Rooms 1st Floor Breezeway i Driveway Rooms 2nd Floor Garage 0 B FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) - - y V ----------------------------------- ,. FOUNDATION(2ND) -- �,, z ° 4 ROUGH FRAMING& PLUMBING Z r r INSULATION PER N.Y. �y STATE ENERGY CODE d 3 FINAL ADDITIONAL COMMENTS i.7K -0 rZ wIx 1 ro L41 z I � x e b -- y BOARD OF HEALTH ... . ... . .. . I FORM NO. 1 3 SETS OF PLANS . .... . . . . ... TOWN OF SOUTHOLD SURVEY".....'. ... . . ... . . . ..... BUILDING DEPARTMENT '- CHECK . ..... .... . . .... .... . .. TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: 4 QCALL . .... . ........ Examinned.........�.�. . ._..2004- MAIL ,TO: ..... ............. . . Approved....... 004 Permit No. v ......... Disapproved arc .. (( ... .............. ... .......... ............. �3. .3. �.. .... .... ...... ... .... ............ (Bui Ina APPLICATION FOR BUILDING PERMIT 0 INSTRUCTIONS a. Tbis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi% 3 sets of plana, acctaate plot plan to scale. Fee according to schedule. b. Plot plan slxwing location of lot and of.buildinga on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property trust be'drawn on the diagramvhich is part of this application, - c. 1hevmrk covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept ca the premises available for inspection tbrougbout the work: e. No building nball be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have leen granted by the Building Inspector. APN.ICAPICN IS }IIEBY MAIL to the building Department for the issuance of a Building Permit pursuant to the Wilding Zone Ordinance of the Town of Sontbold, Suffolk Canty, New York, and other applicable Laws, Ordioances'or Regulations, for the construction of buildings, additions or alterations, or for removal or demolitions as herein described, the applicant agrees to comply with all applicable leas, ordinarxa, building mdf, haisi rode, and regulations, and to admit authorized inspectors on premises and in buildi f e co(, .......... - (Si , o applicant, or name, if'a corporation) J LLC (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generalcontractor, electrician, plumber or builder JKNK, LLC is ownerrof premises ............. ........................................................................ Hame of owner of premises ...:JRNK,, LLC (as an the taxrollor latest deed) If applicant is ti 'signs YcSrly authoriud officer. Owner is not a corporation, but a limited liability company. i (:n Name ti a corporate officer) Nanc Ka wel.L, Managing Member Builders License No. ..Glament.&ba>-neti's.:..` 23484-HI Plumbers License No. .;__....w;.•.....�.- Electricians License No. ..................... Other Trade's License No. - 1. location of land on which proposed work will be dam............. ............................................ 134SQ. �4.RQ@4......................................................... Mat..• cktituv..W 19FA............... Rause Neer Street •• Hamlet Canty Tux Map Na. 1000 .Section ....114......... Block .....11......... Int"....24,;3....... Subdivision ........................................ Filed Map.No. ............... Lot ............... (Name) 2. State existing use and occupany of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy BUSINESS OFFICES FOR KARDWELL INTERNATIONAL, INC. ACCESSORY STORAGE FOR KARDWELL INTERNATIONAL, INC. b. Intended use amid occupancy ...........:..........................: .:..........................:::...... Mature of work, (check rAddi applicable): New Building .......... Addition .......... Alteration ...I..... Repair ............ Removal ............. Demolition ...:........ Other Work .................................. (Description) Estinated Cost ...$.M,PPLQ............ fee .............................................. (to be paid on filing this application) If duelling, maser of duelling units ............ Umber of dwelling units an each floor ................ If garage, mnber of cora .... If business, comercial ar mixed ocnhpmhcy, specify nature and extent of each type of Dimensions of existing structures, if any: Front....64!........ Rear ....40...k' Depth ...198.9' ..... .......... ►kight Avg. 19'-6" �r of Stories ...PBrtial.Second Story Ht: 26'-0" ..... ..... Dimension of acme structure with alterations or additions: Front ...5QLAEi....... Rear ...SMq....... Depth ....Same........... Height .....*97A.......... Nurber of Stories ...Sapp....... I. Divensions of entire new eoastrurtiom Front ................ pear ............... Depth ..... ......... )]eight ......................... Nhnirer of Stories ..................... I, Size of lot* Front 216.46' ..____ gear ... 292.67!__._.... �0, _. .............. ....... 10. Date of Purdhase August 10. 2000 Name of former Owner SouthamQton Lumber Company,..... IL Zone or use district in which premises are situated Hamlet Business (H.B;) 12. Does proposed construction violate mq zoning.law, ordinance or regulation: ........................ No 13. Will lot beregraded N4. Wi111 T789 fill be removed frau •ses- TES NO Nancy's: 2(ardwe F�1 14. Names of Amer of premises .T >, LLC .............. Address P:0:. Box.�O,.pial ff SVSG.Phone No.(�31 )298-QQOS Name of Architect Ward Associates.: P.C. „ Address 1500,Lakeland Ave.. 'r"one No.(¢51��63-4800 ................... .......... ............ ..... Bohemia, New York Name of Contractor ................................... Address ...............................Phone No. .............. 15. Is tilts property within 300 feet of a tidal wetland? * YES .......... No ....g.... *IF YES, SOIMUD IU4N TMMM-3 PLZ W MY BE MVIVED. PLOT DIAGRAM �'�� ty..'Ef�[• dr _ J � .p.... - .Y i� � �ACre././�.eaten w M.tl Y y ' ) e , ��r,.rk) ,e,,.... EXISTING BUILDING *' TO REMAIN. NO ' t > -SYCT'r']� - 9 i� qy i'. .L'�'.`A •� ,,�`....xe•_:v LL `� a.+-^((—I .'»/i.t�+T'+'A 15 i+ �i'ot'a � �� '•yqF '"1. sr •� �+ 'rX ` EX15TINCs BU LDIF(C i r'i x M1 WITIa PROPOSED INTERIOR p 40' 80' MODIFIC:ATIONS1 iTA1L• UR tTW YORK. SS SCALE: P = 80'_0" ®T Y Suffolk ........... Nancy J. Kardwell she .......................................................... duly sworn, deposes and says that-r_ in the applicant (Nape of individual signing contract) above named, She Mana in Member of Limited Liabilit Com an JR - Fieis the .........&..&..................................Y.....P...Y:....NKr.LAG........................... (Cohtr'actor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that alt atatenente container) in this application are true to the best oEArknwledge and belief; and that the work will be performed in the mariner set forth in the application filed therewith- Sworn to before me this 18thAu ust 2004 ...................day of ...$....(.......... .... ...- Notary Public ....... ' �t (Si Applicant) ALBERT NUPFfRMAN NOTARY PUBLIC.STATE OF NEW YORK NO 4520955,SUFFOLK COUNTY COMMISSION EXPIRES JULY 31.200-b \ or